Michael Howard Wieder M.D

NPI 1063608842 - Community Health Worker - 172V00000X

NPI Details
NPI 1063608842
Gender Male
Enumeration Date 09/14/2007
Last Updated 01/11/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
40 E 21ST ST APT 2
NEW YORK NY, 10010-7225, US
Phone (212) 518-1773
Business Location
40 E 21ST ST
NEW YORK NY, 10010-7235, US
Phone (212) 518-1773
Fax (978) 665-5808
Taxonomy Code 172V00000X
License State New York
License Number 238298
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According to our database, Dr. Michael Howard Wieder M.D NPI is 1063608842, taxonomy code is 172V00000X and license number is 238298, license state is located at New York. Michael Howard Wieder M.D physically located at 40 E 21st St Apt 2, New York NY, 10010-7225. NPI Number Michael Howard Wieder M.D has the Individual type.

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1063608842 NPI number is provided on an as is basis without warranty of any kind. 1063608842 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Howard Wieder M.D are for informational purposes only.